BE Form 1

Republic of the Philippines

Department of Education
REGION IV-A CALABARZON
SCHOOLS DIVISION OF BATANGAS
PING-AS CORAL ELEMENTARY SCHOOL
Ping-as, Alitagtag, Batangas
School Year 2021 – 2022

BRIGADA ESKWELA
PHYSICAL FACILITIES AND MAINTENANCE NEEDS ASSESSMENT FORM

Instruction: Conduct an ocular inspection of the school physical listed below. Then provide the needed information to facilitate the improvement to be done on these
identified facilities. (If needed you may use separate forms for each classroom or school facility).

CONDITION Nature of
Remarks Material
(Check One) improvement Manpower
Resources
Needed Needed(Indicate quantity
FACILITIES If Unsatisfactory, Needed (Indicate
(e.g. repair, and nature of labor
Satisfactory Unsatisfactory describe the kind and
repainting, services needed)
problem quality)
replacement, etc)
 Roofs/Gutters
 Ceilings
 Walls
 Blackboards
 Chairs/desks/tables
 Water facilities/
Drainage System
 Signages
 School garden
 Lighting
 Windows
 Doors
 Comfort Rooms
 School Grounds
 School Canteen/Clinic
 School Fence/ wall
 Electricity
 Alternative gate
 Reference Materials
 Laboratory equipment

Prepared by: Noted by:

JASMIN M. EVANGELIO
School Physical Facilities Coordinator Date of Inspection School Head